Update: We are now collecting Disclosures from all users who edit content. You will be prompted to update these when you next edit content or you can complete your disclosures at any time in your user profile. This has been reflected in an updated terms-of-use.

Middle phalanx fracture

Last revised by Dr Mostafa El-Feky on 18 Jun 2020

Middle phalanx fractures are the least common of the phalanx fractures.

Radiographic features

These fractures are generally well visualized on plain radiographs. Ultrasonography can be used in unclear cases.

Treatment and prognosis

Non-displaced fractures can be treated conservatively with a palmar or dorsal splint fixating the interphalangeal joints for a period of 2 to 3 weeks. It should not be longer to avoid the interphalangeal joints to become stiff, and because the majority of fractures are stable.

Displaced fractures or open fractures are treated surgically with fixation by Kirchner wires or very small screws.

ADVERTISEMENT: Supporters see fewer/no ads

Cases and figures

  • Case 1
    Drag here to reorder.
  • Case 2: open fracture
    Drag here to reorder.
  • Case 3: avulsion fracture at base of middle phalanx
    Drag here to reorder.
  • Case 4: minimally displaced
    Drag here to reorder.
  • Case 5: undisplaced 4th and 5th middle phalanx fracture
    Drag here to reorder.
  • Updating… Please wait.

     Unable to process the form. Check for errors and try again.

     Thank you for updating your details.